Resection of the calcaneus as a treatment option in osteitis following an open calcaneus fracture

Resection of the calcaneus as a treatment option in osteitis following an open calcaneus fracture

Surgical treatment of calcaneal fractures is demanding due to the poor musculocutaneous coverage. Infection with osteitis is a severe complication with open fractures. The appearance of osteitis requires aggressive surgical treatment including amputation in case of persistence, leading to considerab...

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Bibliographic Details
Published in:Der Unfallchirurg Vol. 103; no. 7; p. 602
Main Authors: Fuchs, M, Burchhardt, H, Dresing, K, Radebold, T, Stürmer, K M
Format: Journal Article
Language:German
Published: Germany 01-07-2000
Subjects:
Accidental Falls
Adult
Calcaneus - injuries
Calcaneus - surgery
Fracture Fixation - methods
Fractures, Bone - complications
Fractures, Bone - surgery
Humans
Male
Orthotic Devices
Osteitis - etiology
Osteitis - surgery
Shoes
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Summary:Surgical treatment of calcaneal fractures is demanding due to the poor musculocutaneous coverage. Infection with osteitis is a severe complication with open fractures. The appearance of osteitis requires aggressive surgical treatment including amputation in case of persistence, leading to considerable invalidism. We report the case of an 37-year-old mason with an grade III open calcaneal fracture caused by a fall. Osteitis appeared after primary osteosynthesis with open reduction and eventually--after several revisions--required a calcanectomy. By preservation of the forefoot and midfoot and thanks to sufficient orthosis treatment the patient was able to return to his profession after eight months.
ISSN:0177-5537